Endocrine Flashcards
what is the name of the cells in the adrenal medulla?
chromafin cells
which decades of life is pheochromocytoma most common?
4th and 5th decade of life
which familial syndromes may result in pheochromocytoma ?
MEN2A and MEN2B and VHL
diagnosis of pheochromocytoma?
24 hr urine fractionated catelcholamines and metanephrines
-CT/MRI - MIBG to locate ectopic disease
when do you give the alpha blockade before pheochromocytoma surgery?
10-14 days
when do you give the beta blockade before pheochromocytoma surgery?
2-3 days
rule of 10s for pheochromocytoma
- 10% metastazie
- 10% calcify
- 10% in children
- 10% recur
- 10% familial
- 10% bilateral
- 10% normotensive
- 10% extraadrenal
blood supply to the adrenal gland?
- superior suprarenal artery (off of inferior phrenic)
- middle suprarenal artery (directly off aorta)
- inferior suprarenal artery (off of renal artery)
venous drainage of adrenal gland?
suprarenal vein - > renal vein (LEFT)
suprarenal vein - > IVC (RIGHT)
what does the thyroid overly?
the 2nd and 3rd tracheal rings
what ist he name of the procedure used to excise a thyroglossal cyst
sistrunk procedure (excises cyst, tract and central part of thyroid
Presentation of subacute (de querveins) thyroiditis
painful thyroid condition with inflammation of lobes
presentation of reidels thyroiditis
rock hard thyroid swelling, non painful
borders of the posterior triangle of the neck
anterior trapezius, posterior sternocleidomastoid, clavicle
borders of the anterior triangle of the neck
anterior border of sternocleidomastoid, mandible, midline of the neck
